NPI | 1356557441 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: FL MH 5046) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: FL MT 1945) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2007-07-08 |